Provider Demographics
NPI:1285967372
Name:DARROW, EVA MAY (LMT)
Entity type:Individual
Prefix:
First Name:EVA
Middle Name:MAY
Last Name:DARROW
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 DEPOT ST
Mailing Address - Street 2:
Mailing Address - City:LA GRANDE
Mailing Address - State:OR
Mailing Address - Zip Code:97850-2618
Mailing Address - Country:US
Mailing Address - Phone:541-842-0390
Mailing Address - Fax:
Practice Address - Street 1:207 DEPOT ST
Practice Address - Street 2:
Practice Address - City:LA GRANDE
Practice Address - State:OR
Practice Address - Zip Code:97850-2618
Practice Address - Country:US
Practice Address - Phone:541-842-0390
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-08
Last Update Date:2009-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR14444174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist